Active NPI
Fleming Kirk, LLC
- Optometrist
- Troy, AL
National Provider Identifier
1821138413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S853TA409
- Legal business name
- FLEMING KIRK, LLC
- Practice address
- 97 Oak Park Drive
Troy, AL 36079 - Phone
- (334) 403-0627
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shanna Fleming Kirk, OD
- Title
- Owner
- Phone
- (334) 403-0627
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S853TA409 | AL | Primary |
Addresses
Primary practice location
97 Oak Park Drive
Troy, AL 36079
Mailing address
97 Oak Park Dr
Troy, AL 36079-3081
Phone (334) 566-7172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487622932 | Other | AL | INDIV NPI |
Other names 1
- Troy Eye Care
National Provider Directory
National Provider DirectoryLocations
121 Scouting Cir
Troy, AL 36081
Phone (334) 566-4357
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Troy, AL
- NPI 1487622932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484784000000",
"number": "1821138413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 OAK PARK DR",
"city": "TROY",
"state": "AL",
"postal_code": "360793081",
"telephone_number": "334-566-7172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 OAK PARK DRIVE",
"city": "TROY",
"state": "AL",
"postal_code": "36079",
"telephone_number": "334-403-0627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLEMING KIRK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2017-01-19",
"status": "A",
"authorized_official_last_name": "KIRK",
"authorized_official_first_name": "SHANNA",
"authorized_official_middle_name": "FLEMING",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "334-403-0627",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AL",
"license": "S853TA409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIV NPI",
"identifier": "1487622932",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Troy Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Troy, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.